Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia

BACKGROUND AND OBJECTIVE: Abnormal vaginal bleeding under the age of 10 is rare among girls. In such cases, local lesions, trauma, intra–vaginal foreign body, malignant genital tumors, and precocious puberty should be taken into account. Leech infestation is one of the rare causes of severe prepuber...

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Autores principales:	A Saber, M Khodaparast, M Yazdani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2019
Materias:	leech infestation vaginal bleeding prepubertal period Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2d5d7e4cbe804f70a8657aec035f7b96
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spelling	oai:doaj.org-article:2d5d7e4cbe804f70a8657aec035f7b962021-11-10T08:30:36ZVaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia1561-41072251-7170https://doaj.org/article/2d5d7e4cbe804f70a8657aec035f7b962019-12-01T00:00:00Zhttp://jbums.org/article-1-8211-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Abnormal vaginal bleeding under the age of 10 is rare among girls. In such cases, local lesions, trauma, intra–vaginal foreign body, malignant genital tumors, and precocious puberty should be taken into account. Leech infestation is one of the rare causes of severe prepubertal vaginal bleeding. One case of prepubertal vaginal bleeding due to leech infestation is presented here. CASE REPORT: An eight–year–old girl referred to the emergency department after three days of painless vaginal bleeding. The bleeding was moderate during the first two days and the patient experienced intensified bleeding and large menstrual clots on the third day. The patient had no history of trauma, coagulation disorder, systemic illness, and drug use, but noted the history of swimming in the muddy creek within a few days before referral to the emergency department. After examining the genital system, a black mass with wavelike movements was observed in the lower one-third of the vagina, and a piece of it was slightly out of the hymen. The leech was removed by forceps without damaging hymen. After a short time, the bleeding stopped. On the next visit, the patient had no vaginal bleeding and was discharged without any problem. CONCLUSION: In cases of prepubertal vaginal bleeding, accurate examination of the genital system and evaluating the history of swimming or bathing in contaminated creeks, springs, qanats and pools are essential.A SaberM KhodaparastM YazdaniBabol University of Medical Sciencesarticleleech infestationvaginal bleedingprepubertal periodMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 21, Iss 1, Pp 74-77 (2019)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	leech infestation vaginal bleeding prepubertal period Medicine R Medicine (General) R5-920
spellingShingle	leech infestation vaginal bleeding prepubertal period Medicine R Medicine (General) R5-920 A Saber M Khodaparast M Yazdani Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
description	BACKGROUND AND OBJECTIVE: Abnormal vaginal bleeding under the age of 10 is rare among girls. In such cases, local lesions, trauma, intra–vaginal foreign body, malignant genital tumors, and precocious puberty should be taken into account. Leech infestation is one of the rare causes of severe prepubertal vaginal bleeding. One case of prepubertal vaginal bleeding due to leech infestation is presented here. CASE REPORT: An eight–year–old girl referred to the emergency department after three days of painless vaginal bleeding. The bleeding was moderate during the first two days and the patient experienced intensified bleeding and large menstrual clots on the third day. The patient had no history of trauma, coagulation disorder, systemic illness, and drug use, but noted the history of swimming in the muddy creek within a few days before referral to the emergency department. After examining the genital system, a black mass with wavelike movements was observed in the lower one-third of the vagina, and a piece of it was slightly out of the hymen. The leech was removed by forceps without damaging hymen. After a short time, the bleeding stopped. On the next visit, the patient had no vaginal bleeding and was discharged without any problem. CONCLUSION: In cases of prepubertal vaginal bleeding, accurate examination of the genital system and evaluating the history of swimming or bathing in contaminated creeks, springs, qanats and pools are essential.
format	article
author	A Saber M Khodaparast M Yazdani
author_facet	A Saber M Khodaparast M Yazdani
author_sort	A Saber
title	Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
title_short	Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
title_full	Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
title_fullStr	Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
title_full_unstemmed	Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia
title_sort	vaginal leech infestation: a rare cause of prepubertal vaginal bleeding and anemia
publisher	Babol University of Medical Sciences
publishDate	2019
url	https://doaj.org/article/2d5d7e4cbe804f70a8657aec035f7b96
work_keys_str_mv	AT asaber vaginalleechinfestationararecauseofprepubertalvaginalbleedingandanemia AT mkhodaparast vaginalleechinfestationararecauseofprepubertalvaginalbleedingandanemia AT myazdani vaginalleechinfestationararecauseofprepubertalvaginalbleedingandanemia
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Vaginal Leech Infestation: a Rare Cause of Prepubertal Vaginal Bleeding and Anemia

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